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Total Fee: $ • O ./11-5 Date Received: 4 /I <br /> Entered By: ♦ , Permit#: L}p 1 00 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER oweeNplibirepeR <br /> JOB SITE ADDRESS;/001-Q 6� ��71 f ZIP:f5 3 F/ <br /> NAME OF OWNER: r�/L %'&' <br /> PHONE: (home) /7g— .J <br /> /0.7_0 omit Ok,ee.7-� (work) <br /> MAILING ADDRESS a r /� <br /> CONTRACTOR: fian aftej,AW4, PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: 6 S-- 3-(A:5-- <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition )( Accessory Structure <br /> Move Remodel/Altera on Land Alteration <br /> PROPOSED WORK(describe in detail): j a.4" <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ c?D60© <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordanc- with the approved plan. <br /> APPLICANT'S SIGNAT // DATE:/ (1)'- I <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />